CPT Code: G0121

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk

Office

$345.65

RVU 10.20

Facility

$184.01

RVU 5.43

G0121 modifier 53 (procedure incomplete)

$172.82

RVU 5.10

$92.17

RVU 2.72

CPT Code: G9661

Patients greater than or equal to 86 years of age who received a colonoscopy for an assessment of signs/symptoms of gi tract illness, and/or because the patient meets high risk criteria, and/or to follow-up on previously diagnosed advanced lesions

$0.00

RVU 0.00

CPT Code: S0285

Colonoscopy consultation performed prior to a screening colonoscopy procedure

$0.00

RVU 0.00

CPT Code: 44388

Colonoscopy through stoma; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Office

$321.59

RVU 9.49

Facility

$155.88

RVU 4.60

44388 modifier 53 (procedure incomplete)

$160.96

RVU 4.75

$78.28

RVU 2.31

CPT Code: 44390

Colonoscopy through stoma; with removal of foreign body(s)

Office

$411.39

RVU 12.14

Facility

$209.08

RVU 6.17

CPT Code: 44392

Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps

Office

$394.45

RVU 11.64

Facility

$198.92

RVU 5.87

CPT Code: 44402

Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage, when performed)

$259.91

RVU 7.67

CPT Code: 45379

Colonoscopy, flexible; with removal of foreign body(s)

Office

$442.23

RVU 13.05

Facility

$237.21

RVU 7.00

CPT Code: 45380

Colonoscopy, flexible; with biopsy, single or multiple

Office

$441.89

RVU 13.04

Facility

$199.60

RVU 5.89

CPT Code: 45381

Colonoscopy, flexible; with directed submucosal injection(s), any substance

Office

$451.04

RVU 13.31

Facility

$199.26

RVU 5.88

CPT Code: 45385

Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

Office

$461.20

RVU 13.61

Facility

$252.46

RVU 7.45

CPT Code: 45386

Colonoscopy, flexible; with transendoscopic balloon dilation

Office

$623.19

RVU 18.39

Facility

$210.44

RVU 6.21

CPT Code: 45390

Colonoscopy, flexible; with endoscopic mucosal resection

$330.06

RVU 9.74

CPT Code: 45393

Colonoscopy, flexible; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed

$250.09

RVU 7.38

CPT Code: 45398

Colonoscopy, flexible; with band ligation(s) (eg, hemorrhoids)

Office

$845.49

RVU 24.95

Facility

$234.84

RVU 6.93

CPT Code: G0105

Colorectal cancer screening; colonoscopy on individual at high risk

Office

$345.31

RVU 10.19

Facility

$183.67

RVU 5.42

G0105 modifier 53 (procedure incomplete)

$172.49

RVU 5.09

$91.83

RVU 2.71

CPT Code: G0120

Colorectal cancer screening; alternative to g0105, screening colonoscopy, barium enema.

$228.06

RVU 6.73

G0120 modifier TC (technical component)

$167.74

RVU 4.95

G0120 modifier 26 (professional component)

$60.32

RVU 1.78

CPT Code: G2204

Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period

$0.00

RVU 0.00

CPT Code: G9659

Patients greater than or equal to 86 years of age who underwent a screening colonoscopy and did not have a history of colorectal cancer or other valid medical reason for the colonoscopy, including: iron deficiency anemia, lower gastrointestinal bleeding, crohn's disease (i.e., regional enteritis), familial adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease, ulcerative colitis, abnormal finding of gastrointestinal tract, or changes in bowel habits

$0.00

RVU 0.00

CPT Code: G9660

Documentation of medical reason(s) for a colonoscopy performed on a patient greater than or equal to 86 years of age (e.g., iron deficiency anemia, lower gastrointestinal bleeding, crohn's disease (i.e., regional enteritis), familial history of adenomatous polyposis, lynch syndrome (i.e., hereditary non-polyposis colorectal cancer), inflammatory bowel disease, ulcerative colitis, abnormal finding of gastrointestinal tract, or changes in bowel habits)

$0.00

RVU 0.00

CPT Code: G9998

Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., last colonoscopy incomplete, last colonoscopy had inadequate prep, piecemeal removal of adenomas, last colonoscopy found greater than 10 adenomas, or patient at high risk for colon cancer [crohn's disease, ulcerative colitis, lower gastrointestinal bleeding, personal or family history of colon cancer, hereditary colorectal cancer syndromes])

$0.00

RVU 0.00

CPT Code: G9999

Documentation of system reason(s) for an interval of less than 3 years since the last colonoscopy (e.g., unable to locate previous colonoscopy report, previous colonoscopy report was incomplete)

$0.00

RVU 0.00

CPT Code: 44389

Colonoscopy through stoma; with biopsy, single or multiple

Office

$420.20

RVU 12.40

Facility

$171.13

RVU 5.05

CPT Code: 44391

Colonoscopy through stoma; with control of bleeding, any method

Office

$653.01

RVU 19.27

Facility

$229.42

RVU 6.77

CPT Code: 44394

Colonoscopy through stoma; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

Office

$446.29

RVU 13.17

Facility

$224.33

RVU 6.62

CPT Code: 44401

Colonoscopy through stoma; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre-and post-dilation and guide wire passage, when performed)

Office

$2,434.12

RVU 71.83

Facility

$240.94

RVU 7.11

CPT Code: 44403

Colonoscopy through stoma; with endoscopic mucosal resection

$302.27

RVU 8.92

CPT Code: 44404

Colonoscopy through stoma; with directed submucosal injection(s), any substance

Office

$430.03

RVU 12.69

Facility

$171.47

RVU 5.06

CPT Code: 44405

Colonoscopy through stoma; with transendoscopic balloon dilation

Office

$566.93

RVU 16.73

Facility

$181.97

RVU 5.37

CPT Code: 44406

Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures

$227.72

RVU 6.72

CPT Code: 44407

Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the sigmoid, descending, transverse, or ascending colon and cecum and adjacent structures

$273.47

RVU 8.07

CPT Code: 44408

Colonoscopy through stoma; with decompression (for pathologic distention) (eg, volvulus, megacolon), including placement of decompression tube, when performed

$229.76

RVU 6.78

CPT Code: 45378

Colonoscopy, flexible; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Office

$345.31

RVU 10.19

Facility

$183.67

RVU 5.42

45378 modifier 53 (procedure incomplete)

$172.49

RVU 5.09

$91.83

RVU 2.71

CPT Code: 45382

Colonoscopy, flexible; with control of bleeding, any method

Office

$679.10

RVU 20.04

Facility

$257.20

RVU 7.59

CPT Code: 45384

Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps

Office

$497.80

RVU 14.69

Facility

$226.71

RVU 6.69

CPT Code: 45388

Colonoscopy, flexible; with ablation of tumor(s), polyp(s), or other lesion(s) (includes pre- and post-dilation and guide wire passage, when performed)

Office

$2,515.79

RVU 74.24

Facility

$269.40

RVU 7.95

CPT Code: 45389

Colonoscopy, flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage, when performed)

$288.38

RVU 8.51

CPT Code: 45391

Colonoscopy, flexible; with endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures

$256.19

RVU 7.56

CPT Code: 45392

Colonoscopy, flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s), includes endoscopic ultrasound examination limited to the rectum, sigmoid, descending, transverse, or ascending colon and cecum, and adjacent structures

$302.27

RVU 8.92

CPT Code: 00812

Anesthesia for lower intestinal endoscopic procedures, endoscope introduced distal to duodenum; screening colonoscopy

$0.00

RVU 0.00